Test Bank for Nursing for Wellness in Older Adults
9th Edition by Carol A. Miller
Chapters 1 - 29
,Nursing for Wellness in Older Adults Miller 9th Edition Test Bank
Table of Contents
Chapter 1: Seeing Older Adults Through the Eyes of Wellness
Chapter 2: Applying a Nursing Model for Promoting Wellness in Older Adults
Chapter 3: Theoretical Perspectives on Aging Well
Chapter 4: Perspectives on Culture and Diversity of Older Adults
Chapter 5: Gerontological Nursing and Health Promotion
Chapter 6: Diverse Health Care Settings for Older Adults
Chapter 7: Assessment of Health and Functioning
Chapter 8: Medications and Other Bioactive Substances
Chapter 9: Legal and Ethical Concerns
Chapter 10: Elder Abuse and Neglect
Chapter 11: Cognitive Function
Chapter 12: Psychosocial Function
Chapter 13: Psychosocial Assessment
Chapter 14: Impaired Cognitive Function: Delirium and Dementia
,Chapter 15: Impaired Affective Function: Depression
Chapter 16: Hearing
Chapter 17: Vision
Chapter 18: Digestion and Nutrition
Chapter 19: Urinary Function
Chapter 20: Cardiovascular Function
Chapter 21: Respiratory Function
Chapter 22: Mobility and Safety
Chapter 23: Integument
Chapter 24: Sleep and Rest
Chapter 25: Thermoregulation
Chapter 26: Sexual Function
Chapter 27: Caring for Older Adults During Illness
Chapter 28: Caring for Older Adults Experiencing Pain
Chapter 29: Caring for Older Adults at the End of Life
, Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 1
1.A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
colleague. Which of the nurse's statements reflects an accurate view of the relationship
between aging and wellness?
A) "It's important that the individual knows this is an expected part of growing older."
B) "We need to teach the older adult how he can keep living a fruitful life in spite of
his diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his age."
D) "We need to ensure his expectations of continuing to live alone are realistic."
ANSWER: B
Feedback:
Answer B reflects a desire to foster a fulfilling and productive life for the older adult
despite his diagnosis, and reflects an understanding of wellness and aging. Option A
implies that illness is an inevitability of aging. Option C suggests that older adults have a
limited capacity to learn by virtue of their age, and option D implies pessimism about the
health and functioning of the older adult.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 2
2.A nurse is teaching an older person about the concept of successful aging. Which of the
nurse's questions addresses an important contributor to successful aging?
A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?"
ANSWER: C
Feedback:
Research has indicated that an active engagement with life is central to successful and
healthy aging. Absence of illness, financial security, and the nature of a person's support
network are not identified components of successful aging.
, Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 3
3.An older adult has recently begun to display unprecedented lapses in short-term memory.
The nurse overhears a colleague reassuring the person by saying, "Try not to worry; it's
just a part of growing older." The nurse recognizes that this is an example of what
phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
ANSWER: C
Feedback:
Age attribution is the act of attributing a problem to age rather than to a pathology, as in
the colleague's statement. Multiple jeopardy is the compounding of discrimination based
on factors such as race and gender, while gerontophobia is the fear or hatred of older
, people. Implicit ageism is the unrecognized, negative perception of older people.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4
4.A unurse uhears ua ucolleague umake uthe ustatement, u"Most uolder uadults uhave unothing
uto uworryuabout ufinancially." uWhich uof uthe ufollowing uresponses uis umost
uappropriate?
A) "You uhave uto uremember uthat uthere's ua uhuge ueconomic udisparity uamong uolder
uadults."
B) "Actually, uthe unumber uof uolder upeople uliving ubelow uthe upoverty uline
uhas ubeenuincreasing, unot udecreasing."
C) "This uisn't ureally utrue unow, ubut uit uis utrue uthat uthe ugaps uthat udisadvantaged
ugroups uliveuwith uare uexpected uto ushrink."
D) "This uis utrue ufor usome ugroups, ubut unot ufor uminorities uwho uare uless ulikely uto
ube ulivinguwith utheir urelatives."
ANSWER: A
Feedback:
An uimportant uconsideration uwith uregard uto ueconomic uconditions uof uolder uadults uis
uthe utremendous urange uin ufinancial ustatus, uwhich uvaries usignificantly uaccording uto
urace, ugender,uand uliving uarrangements. uThe unumber uof uadults uliving ubelow uthe
upoverty uline, uhowever, uhas udecreased uin urecent uyears. uThe udisparities uthat useparate
udisadvantaged ugroups ufrom umore ueconomically usecure uolder uadults uare upredicted uto
upersist. uMinorities uare umore ulikely,unot uless ulikely, uto ube uliving uwith utheir urelatives.
Origin: u Chapter u1- uSeeing uOlder uAdults uThrough uthe uEyes uof uWellness, u5
5.A unurse uis uconducting ua ustudy uon uthe uneeds uand uliving usituations uof uolder
uadults uin utheucommunity. uWhich uof uthe ufollowing ustatements ushould uthe unurse
utake uinto uaccount?
A) A umajority uof uolder uAmericans uwill ulive uin ua unursing uhome uat usome upoint.
B) More uolder umen ulive ualone uthan uolder uwomen.
C) Assisted uliving uarrangements uhave ubecome uincreasingly ucommon.
D) Most uolder uAmericans ureside uin usome uform uof uinstitutional
uarrangement.uANSWER: C
9th Edition by Carol A. Miller
Chapters 1 - 29
,Nursing for Wellness in Older Adults Miller 9th Edition Test Bank
Table of Contents
Chapter 1: Seeing Older Adults Through the Eyes of Wellness
Chapter 2: Applying a Nursing Model for Promoting Wellness in Older Adults
Chapter 3: Theoretical Perspectives on Aging Well
Chapter 4: Perspectives on Culture and Diversity of Older Adults
Chapter 5: Gerontological Nursing and Health Promotion
Chapter 6: Diverse Health Care Settings for Older Adults
Chapter 7: Assessment of Health and Functioning
Chapter 8: Medications and Other Bioactive Substances
Chapter 9: Legal and Ethical Concerns
Chapter 10: Elder Abuse and Neglect
Chapter 11: Cognitive Function
Chapter 12: Psychosocial Function
Chapter 13: Psychosocial Assessment
Chapter 14: Impaired Cognitive Function: Delirium and Dementia
,Chapter 15: Impaired Affective Function: Depression
Chapter 16: Hearing
Chapter 17: Vision
Chapter 18: Digestion and Nutrition
Chapter 19: Urinary Function
Chapter 20: Cardiovascular Function
Chapter 21: Respiratory Function
Chapter 22: Mobility and Safety
Chapter 23: Integument
Chapter 24: Sleep and Rest
Chapter 25: Thermoregulation
Chapter 26: Sexual Function
Chapter 27: Caring for Older Adults During Illness
Chapter 28: Caring for Older Adults Experiencing Pain
Chapter 29: Caring for Older Adults at the End of Life
, Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 1
1.A nurse is discussing an older adult's recent diagnosis of rheumatoid arthritis with a
colleague. Which of the nurse's statements reflects an accurate view of the relationship
between aging and wellness?
A) "It's important that the individual knows this is an expected part of growing older."
B) "We need to teach the older adult how he can keep living a fruitful life in spite of
his diagnosis."
C) "We need to make sure our teaching is not too detailed for someone of his age."
D) "We need to ensure his expectations of continuing to live alone are realistic."
ANSWER: B
Feedback:
Answer B reflects a desire to foster a fulfilling and productive life for the older adult
despite his diagnosis, and reflects an understanding of wellness and aging. Option A
implies that illness is an inevitability of aging. Option C suggests that older adults have a
limited capacity to learn by virtue of their age, and option D implies pessimism about the
health and functioning of the older adult.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 2
2.A nurse is teaching an older person about the concept of successful aging. Which of the
nurse's questions addresses an important contributor to successful aging?
A) "Are you largely free of acute or chronic illnesses?"
B) "Do you feel financially secure?"
C) "Do you feel like you actively engage with life?"
D) "Do you have a reliable support network?"
ANSWER: C
Feedback:
Research has indicated that an active engagement with life is central to successful and
healthy aging. Absence of illness, financial security, and the nature of a person's support
network are not identified components of successful aging.
, Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 3
3.An older adult has recently begun to display unprecedented lapses in short-term memory.
The nurse overhears a colleague reassuring the person by saying, "Try not to worry; it's
just a part of growing older." The nurse recognizes that this is an example of what
phenomenon?
A) Multiple jeopardy
B) Gerontophobia
C) Age attribution
D) Implicit ageism
ANSWER: C
Feedback:
Age attribution is the act of attributing a problem to age rather than to a pathology, as in
the colleague's statement. Multiple jeopardy is the compounding of discrimination based
on factors such as race and gender, while gerontophobia is the fear or hatred of older
, people. Implicit ageism is the unrecognized, negative perception of older people.
Origin: Chapter 1- Seeing Older Adults Through the Eyes of Wellness, 4
4.A unurse uhears ua ucolleague umake uthe ustatement, u"Most uolder uadults uhave unothing
uto uworryuabout ufinancially." uWhich uof uthe ufollowing uresponses uis umost
uappropriate?
A) "You uhave uto uremember uthat uthere's ua uhuge ueconomic udisparity uamong uolder
uadults."
B) "Actually, uthe unumber uof uolder upeople uliving ubelow uthe upoverty uline
uhas ubeenuincreasing, unot udecreasing."
C) "This uisn't ureally utrue unow, ubut uit uis utrue uthat uthe ugaps uthat udisadvantaged
ugroups uliveuwith uare uexpected uto ushrink."
D) "This uis utrue ufor usome ugroups, ubut unot ufor uminorities uwho uare uless ulikely uto
ube ulivinguwith utheir urelatives."
ANSWER: A
Feedback:
An uimportant uconsideration uwith uregard uto ueconomic uconditions uof uolder uadults uis
uthe utremendous urange uin ufinancial ustatus, uwhich uvaries usignificantly uaccording uto
urace, ugender,uand uliving uarrangements. uThe unumber uof uadults uliving ubelow uthe
upoverty uline, uhowever, uhas udecreased uin urecent uyears. uThe udisparities uthat useparate
udisadvantaged ugroups ufrom umore ueconomically usecure uolder uadults uare upredicted uto
upersist. uMinorities uare umore ulikely,unot uless ulikely, uto ube uliving uwith utheir urelatives.
Origin: u Chapter u1- uSeeing uOlder uAdults uThrough uthe uEyes uof uWellness, u5
5.A unurse uis uconducting ua ustudy uon uthe uneeds uand uliving usituations uof uolder
uadults uin utheucommunity. uWhich uof uthe ufollowing ustatements ushould uthe unurse
utake uinto uaccount?
A) A umajority uof uolder uAmericans uwill ulive uin ua unursing uhome uat usome upoint.
B) More uolder umen ulive ualone uthan uolder uwomen.
C) Assisted uliving uarrangements uhave ubecome uincreasingly ucommon.
D) Most uolder uAmericans ureside uin usome uform uof uinstitutional
uarrangement.uANSWER: C
